Individual
DANIEL STOUS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
RANGE ROAD, HOLLY RIDGE, NC 28445
(785) 249-7433
Mailing address
3D RAIDER BATTALION, RANGE ROAD, HOLLY RIDGE, NC 28445
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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